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General NPI Number Information
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NPI Number | 1043291925
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Entity Type | Organization
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Legal Business Name | BARTHOLOMEW'S PHARMACY, INC.
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2 ELM ST
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City | FRANKLINVILLE
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State | NY
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Zip | 14737-1004
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Country | US
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Telephone | 716-676-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ELM ST
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City | FRANKLINVILLE
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State | NY
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Zip | 14737-1004
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | RANDALL BUCHANAN
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Credential | RPH.
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Telephone | 716-676-3350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 045393
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License Number State | NY
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